Kamphuis H C M, De Leeuw J R J, Derksen R, Hauer R, Winnubst J A M
Workgroup on Psychology of Health and Illness, University Medical Centre Utrecht, The Netherlands.
Europace. 2002 Oct;4(4):417-25. doi: 10.1053/eupc.2002.0258.
Previous studies indicate that the implantable cardioverter defibrillator (ICD) has a large impact on the quality of life of patients. The effects of having an ICD over longer periods of times has been less studied.
To assess the quality of life and well-being of cardiac arrest survivors who have received an implantable cardioverter defibrillator (ICD) or other treatment.
168 patients were monitored for 1 year and completed four questionnaires.
No differences were found between the two treatments regarding quality of life (except for pain, ICD patients perceived less pain) and well-being. A significant improvement in physical and social function, and in mental health was found in the first 6 months. Older patients (60 years or older) perceived less improvement in their health than younger patients. Women reported having poorer social function. The prevalence of anxiety and probable depression was high irrespective of the treatment received: anxiety and depressive symptoms did not change significantly between 1 and 12 months after discharge. Patients with higher anxiety scores experienced less improvement in health and patients with more depressive symptoms experienced poorer social function.
The prevalence of anxiety and probable depression was high in cardiac arrest survivors. Probable depression affected social function. Those patients who felt anxious experienced less health improvement. Quality of life and well-being were not affected by the type of treatment. We conclude that surviving an out-of-hospital cardiac arrest has a greater impact on patients than the treatment received.
先前的研究表明，植入式心脏复律除颤器（ICD）对患者的生活质量有很大影响。而关于长期使用ICD的影响的研究较少。
评估接受植入式心脏复律除颤器（ICD）或其他治疗的心脏骤停幸存者的生活质量和幸福感。
对168名患者进行了1年的监测，并让他们完成了四份问卷。
在生活质量（疼痛方面除外，ICD患者感觉疼痛较轻）和幸福感方面，两种治疗方法之间未发现差异。在最初的6个月里，身体和社会功能以及心理健康有显著改善。老年患者（60岁及以上）感觉健康改善程度不如年轻患者。女性报告社会功能较差。无论接受何种治疗，焦虑和可能的抑郁患病率都很高：出院后1至12个月内，焦虑和抑郁症状没有明显变化。焦虑评分较高的患者健康改善程度较低，抑郁症状较多的患者社会功能较差。
心脏骤停幸存者中焦虑和可能的抑郁患病率很高。可能的抑郁影响了社会功能。那些感到焦虑的患者健康改善较少。生活质量和幸福感不受治疗类型的影响。我们得出结论，院外心脏骤停存活对患者的影响比所接受的治疗更大。
